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Characteristics of Siblings With Celiac Disease Diagnosed by Family Screening

Akkelle, Bilge S; Volkan, Burcu; Tutar, Engin; Ertem, Deniz.
Indian Pediatr ; 2022 Nov; 59(11): 867-870
Artículo | IMSEAR | ID: sea-225270

Objective:

The aim of this study was to evaluate the features of asymptomatic siblings of index celiac patients who were diagnosed with celiac disease (CD) at the initial screening.

Methods:

We reviewed hospital records of 210 children with CD. The characteristics of sibling celiacs (n=24) were compared with index celiacs (n=186).

Results:

At diagnosis, sibling celiacs were older than index celiacs (mean (SD) 10.4 (2.7) vs 8.2 (4.3) years; P=0.02). There were no significant differences between sibling and index celiacs in terms of serum anti-tTG IgA titer (?10xULN, 83.3% vs 85%), and most of the patients had moderate/severe villous atrophy in both groups. The rates of iron deficiency anemia, folic acid deficiency, wasting and stunting were comparable between sibling and index celiac patients.

Conclusions:

Siblings with CD were older than index children with CD at diagnosis, and their characteristics were similar to symptomatic index children with CD, despite not having any complaints.